Medicare Enrolled

Dr. Douglas Fox, MD

Neurological Surgery · Austin, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5625 EIGER RD STE 115, Austin, TX 78735
5126544550
Registered in NPPES since 2005
NPI: 1427044924 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Fox from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fox

Dr. Douglas Fox is a neurological surgery specialist in Austin, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fox performed 786 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Fox received a total of $866,680 from 7 pharmaceutical and/or device companies across 255 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Fox is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 15% volume in TX $866,680 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
786
Medicare services
Top 15% in TX for neurological surgery
Not available
Unique patients (not deduplicated)
$274
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
114 $295 $1,132
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
110 $97 $209
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
106 $64 $142
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
101 $127 $322
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
69 $198 $1,183
Partial removal of spine bone with nerve release, each additional segment
This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment.
35 $157 $616
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
34 $84 $210
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
32 $569 $2,211
Computer-assisted spinal procedure
A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution.
32 $177 $675
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
28 $1,409 $5,338
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
26 $713 $3,207
Partial removal of spine bone with nerve release during fusion
This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion.
26 $198 $738
Partial bone removal of additional lower back spine segment during fusion
This procedure involves the partial removal of bone from an additional segment of the lower spine to release the spinal cord or nerves. It is performed as part of a spinal fusion surgery in the lower back.
21 $175 $553
Fusion of spine in lower back 20 $1,168 $4,631
Spinal fusion with partial bone and disc removal
A surgical procedure to join additional segments of the spine. It involves the partial removal of spine bone and disc tissue.
17 $371 $1,436
Placement of stabilizing device to back of 1 spine bone in neck
A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck.
15 $580 $2,208
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
37.5% high complexity
0.0% medium
62.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$866,680
Total received (2018-2024)
Avg $123,811/year across 7 years
Top 1% in TX for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
7
Companies
255
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$293,432
2023
$290,120
2022
$18,757
2021
$195,847
2020
$9,988
2019
$33,202
2018
$25,335

Payments by company (2024)

Medtronic, Inc.
$290,649
Alphatec Spine, Inc
$2,783
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$795,329
Medtronic USA, Inc.
$68,481
Alphatec Spine, Inc
$2,783
Abbott Laboratories
$44
Boston Scientific Corporation
$17
Nevro Corp.
$14
Spineology Inc.
$13
Top 3 companies account for 100.0% of all-time payments
Associated products mentioned in payments ›
Battalion TLIF - PC · INTELLIS ADAPTIVESTIM · INTERSTIM · Invictus OPEN · MAZOR X SYSTEM · MIDAS REX · Mazor X Stealth Edition · MazorX - Renaissance · MazorX Renaissance · O-ARM · Other - Miscellaneous · PROCLAIM · Rampart Duo Interbody Fusion System · STEALTHSTATION S8 PLATFORM · Senza Spinal Cord Stimulation System · UNID_PASS · VISUALASE · WATCHMAN
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a neurological surgery specialist in Austin?
Compare neurological surgerists in the Austin area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists in nearby ZIP areas
43
County median income
$97,169
Nearest hospital to ZIP centroid (approximate)
BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Fox is a clinical cardiology specialist, with above-average Medicare volume (top 15% in TX), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Fox experienced with spinal fusion of additional segment?
Based on Medicare claims data, Dr. Fox performed 114 spinal fusion of additional segment services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Fox receive payments from pharmaceutical companies?
Yes. Dr. Fox received a total of $866,680 from 7 companies across 255 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fox's costs compare to other neurological surgerists in Austin?
Dr. Fox's average Medicare payment per service is $274. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fox) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →